What are Breast Implant Removal Options?
Breast implant removal, also known as explantation, is a surgical procedure to remove breast implants that were either inserted for reconstructive or cosmetic reasons, such as in a breast augmentation. There are several options for women who want to have their breast implants removed. These options include:
- Implant removal alone
- Implant removal followed by the replacement of an existing implant
- Implant removal followed by a capsulectomy (also known as en bloc removal)
- Implant removal followed by simultaneous fat grafting or a breast lift
What are the Indications for Breast Implant Removal?
One of the most common reasons that breast implants may need to be removed or replaced is because scar tissue can harden around the implants. This is known as capsular contracture. It can cause pain and discomfort and also change the implants’ appearance. Other reasons for breast implant removal include:
- Leaking of the breast implant
- Calcium buildup around the implant
- Movement or shifting of the implant
- Necrosis or tissue death around the implant
- You no longer want your implants
Preparation for Breast Implant Removal Options
In general, preparation for breast implant removal surgery may involve the following:
- Routine medical evaluation, blood tests, and imaging studies to ensure the patient is in good health for the surgery.
- You will be asked if you have allergies to any specific medications, anesthesia, or latex.
- You should inform your doctor of any medications or supplements that you are taking.
- If you are on certain medications, such as those that affect blood clotting, your physician may adjust or temporarily stop them.
- You should not consume any solids or liquids at least 6 hours prior to surgery.
- It is highly recommended to stop smoking at least 6 weeks before and after surgery, as active smoking is associated with several risks including delayed wound healing.
- You should arrange for someone to drive you home after surgery.
- A signed informed consent form will be obtained from you after the pros and cons of the surgery have been explained.
Procedure for Breast Implant Removal Options
In general, breast implant removal surgery options may involve the following steps:
- You will typically be administered general anesthesia to keep you comfortable, pain-free, and asleep during the procedure.
- Your surgeon will make incisions to access the implants. Common incision locations include inframammary (under the breast crease), periareolar (around the areola), or transaxillary (in the armpit).
- Based on the individual’s reasons for breast implant removal, your surgeon may perform any of the following options, including:
- Implant removal only: This involves removing the breast implants without making any additional adjustments to the breast tissue. It is suitable for individuals who are content with their natural breast appearance and do not require further enhancement.
- Implant replacement: Some women may choose to replace their current implants with new ones. This could be for reasons such as dissatisfaction with the current implant size or type, or as part of a revision surgery to address complications or changes in preferences.
- Fat Grafting: Fat grafting involves harvesting fat from one part of the body (usually through liposuction) and injecting it into the breasts to restore volume naturally after implant removal.
- Breast lift (mastopexy): This may be recommended in conjunction with implant removal to address sagging or stretched breast tissue. It reshapes and lifts the natural breast tissue to achieve a more youthful appearance.
- Capsulectomy: Capsulectomy is the removal of the scar tissue (capsule) that forms around the implant. This may be recommended if the capsule has thickened, causing discomfort or changes in breast shape.
- En bloc capsulectomy: En bloc capsulectomy involves removing the breast implant and its surrounding capsule as a single unit. This is a technique used when there are concerns about implant rupture or to ensure complete removal of the capsule and its contents.
- Breast reduction: In cases where there is excess breast tissue, a breast reduction may be performed during implant removal. This procedure removes excess tissue to achieve a smaller and more proportionate breast size.
- Following this, the incisions are carefully closed with sutures, and the surgical site may be covered with dressings or surgical tape.
Postoperative Care and Recovery
In general, postoperative care instructions and recovery after breast implant removal options surgery may involve the following:
- You may notice sensitivity, tenderness, swelling, and bruising over the breast. Medications are provided as needed to address these, including antibiotics to prevent the risk of surgery-related infection.
- Instructions on wound care and bathing will be provided to keep the incision area clean and dry.
- Refrain from any strenuous activities and/or exercise for at least 4 to 6 weeks to promote healing.
- You are recommended to wear a surgical bra or sports bra for about 3 to 6 weeks following surgery to help reinforce shape, facilitate recovery, and for comfort.
- You should be able to resume working and other daily activities approximately 1 week to 10 days following surgery, but may have certain activity restrictions.
- Other aftercare instructions to avoid complications and achieve the best possible clinical outcome include:
- Avoid alcoholic beverages for at least two weeks, as alcohol can interfere with the healing process
- Avoid heavy lifting to allow the incisions to heal correctly
- Avoid prolonged sun exposure
- Eat foods high in protein
- Maintain an adequate fluid intake
- A periodic follow-up appointment will be scheduled to monitor your progress.
Risks and Complications
Breast implant removal options surgery is relatively a safe procedure; however, as with any surgery some risks and complications may occur, such as:
- Infection
- Bleeding
- Scarring
- Asymmetry
- Delayed wound healing
- Skin discoloration
- Numbness or changes in nipple/breast sensation
- Fluid accumulation (seroma)
- Anesthesia risks